IMPORTANCE OF EXERCISE IN JOINT REPLACEMENT (BEFORE AND AFTER)

With the growing age joint problems are one of the most common subjects one suffers with and is amongst the concerned topics of the geriatric population. Total knee replacement (TKR) is the operative procedure which involves replacing the diseased joint with the artificial material, but the decision is always a difficult one; it involves no. of issues before taking this big step. Be it emotional stability or physical strength, one needs both to gain the power before undergoing any operative procedure. And prior to the surgery, it’s again important to take some minor steps which will maintain the functionality of the bones and joints before and after the surgical procedures and aids in fast recovery.

There are several ways to perform exercise at home, but before starting any physical exercise one must contact the concerned orthopedician or the physiotherapist and proceed under their supervision.
Before Undergoing Operative Procedure
1. THIGH SQUEEZES - Tighten the muscular tissues at the pinnacle of your thigh through pushing it against your knee down into the bed. Hold for five seconds and relax.
2. ANKLE PUMPS AND CIRCLES - Pump your toes up and down through pulling your toes up closer to you, then pushing your toes down far from you. Next, rotate your toes clockwise and counterclockwise.
3. HEEL SLIDES (HIP AND KNEE FLEXION) - Bend your surgical hip and knee through sliding your heel up closer to your buttocks even as retaining your heel at the be at Slide your heel back off to the beginning of the roll and relax. Keep your kneecap pointed up close to the ceiling all through the exercise. You can also additionally need to apply a plastic bag beneath your heel to assist it slide easier.
4. LEG SLIDES (ABDUCTION) - Slide your surgical leg out to the side, retaining your kneecap pointed up closer to the ceiling. Slide your leg again at the beginning. You can also additionally need to apply a plastic bag beneath your heel to assist it slide easier.
5. LYING KICKS (SHORT ART QUADRICEPS) - Lie in with a rolled-up blanket or towel (as a minimum 6 inches in diameter) beneath the knee of your surgical leg. Straighten your surgical leg. Hold for five seconds. Slowly decrease your leg down and relax. The knee needs to live in, touch with the blanket or towel all through exercising.
6. STRAIGHT LEG RAISES - Bend your different legs together along with your foot flat on the bed. Raise your surgical leg up (approximately 12 inches), retaining your knee straight. Also bend your ankle up pulling your feet closer to you. Work as much as conserving for five seconds. Slowly decrease your leg down and relax.
7. BED MOBILITY EXERCISE - Lie flat, Come up on each elbow. Straighten your hands out at the back of you and are available for a sitting role. Lower yourself down onto your elbows again, then right all the way down to lying flat.
8. CHAIR PUSH UPS - Sit on a strong chair with hands, hold the hands of the chair. Push down at the chair, hands, straightening your elbows so that you improve your buttocks some inches off the seat of the chair. Work as much as conserving for five seconds. Lower yourself slowly into the chair. If your hands are weak, use your legs to assist and improve your buttocks off the seat of the chair.
9. KNEE BENDING STRETCH (SITTING KNEE FLEXION) - Sit closer to the front of a strong chair. Slowly slide your foot backward and forward 10 instances as heat up. Then slide your foot again inch-through-inch, bending your knee as hard as you can. You can use your fingers to assist. Hold for 30 seconds. (Your heel can elevate up from the floor). Return to the beginning role and relax. Repeat three instances slowly.
10. KNEE STRAIGHTENING STRETCH (SITTING KNEE EXTENSION) - Sit on a strong chair together along with your decreased leg up on some other chair, or a footstool, in the front of you. You need to sense a stretch again of your knee. You can do thigh squeezes or upload a towel roll beneath your ankle to grow the stretch. Do this stretch for five to ten minutes as per your capacity. This exercise also can be completed by lying in bed.
After Undergoing Operative Procedure -
1. QUADRICEPS SET - Tighten your thigh muscle. Try to straighten your knee. Hold for five to ten seconds. Repeat this workout for about 10 instances at some point of a two-minute period, relaxation of one minute, and then repeat. Continue till your thigh feels fatigued.
2. STRAIGHT LEG RAISES - Tighten your thigh muscles together along with your knee absolutely straightened on the bed, as with the quadriceps set above. Lift your legs numerous inches. Hold for five to ten seconds. Slowly lower. Repeat till your thigh feels fatigued. You can also do legs to enhance even sitting. Tighten your thigh muscle and maintain your knee absolutely straightened together along with your leg unsupported. Repeat as above. Continue those sports periodically till complete power returns to your thigh.
3. ANKLE PUMPS - Move your foot up and down rhythmically with the aid of using your calf and shin muscles. Perform this workout for two for a few minutes, 2 or three instances an hour within the healing room. Continue this workout till you're absolutely recovered and all ankles and lower-leg swelling has subsided.
4. KNEE STRAIGHTENING EXERCISES - Place a small rolled towel simply above your heel in order that your heel isn't touching the bed. Tighten your thigh. Try to absolutely straighten your knee and touch the back of your knee to the bed. Hold absolutely straight for five to ten seconds.
Repeat till your thigh feels fatigued.
5. BED SUPPORTED KNEE BENDS - Slide your foot in the direction of your buttocks, bending your knee and maintaining your heel at the bed. Hold your knee in a maximally bent role for five to ten seconds then straighten.
Repeat numerous instances till your leg feels fatigued or until you absolutely bend your knee.
6. SITTING SUPPORTED KNEE BENDS - While sitting at your bedside or in a chair together along with your thigh supported, place your foot at the back of the heel of your operated knee for support. Slowly bend your knee in ways as you could. Hold your knee on this role for five to ten seconds. Repeat numerous instances till your leg feels fatigued or until you absolutely bend your knee.
7. SITTING UNSUPPORTED KNEE BENDS - While sitting at the bedside or in a chair together with your thigh supported, bend your knee in a way as you could till your foot rests on the floor. With your foot gently resting on the floor, slide your upper body forward in the chair to increase your knee bends. Hold for five to ten seconds. Straighten your knee absolutely.

Repeat numerous instances till your leg feels fatigued or until you absolutely bend your knee.
Life care hospital, Navrangpura especially deals with the patients who have any kind of accidental or trauma cases round the clock under the guidance of skilled doctors and trained nursing staff of the orthopedics department, who all are available for various types of medical emergencies. Medical services is 24*7 availability and utmost use of medical equipment aids in gaining patient’s attention and hence Life care’s agenda of providing a patient centric approach is always fulfilled.